Review: Intensive Care by Gavin Francis
I finally finished a book in 2021! And it’s one with undeniable ongoing relevance. The subtitle is “A GP, a Community & COVID-19.” Francis, a physician who is based at an Edinburgh practice and frequently travels to the Orkney Islands for healthcare work, reflects on what he calls “the most intense months I have known in my twenty-year career.” He draws all of his chapter epigraphs from Daniel Defoe’s A Journal of the Plague Year and journeys back through most of 2020, from the day in January when he and his colleagues received a bulletin about a “novel Wuhan coronavirus” to November, when he was finalizing the book and learned of promising vaccine trials but also a rumored third wave and winter lockdown.
In February, no one knew whether precautions would end up being an overreaction, so Francis continued normal life: attending a conference, traveling to New York City, and going to a concert, pub, and restaurant. By March he was seeing more and more suspected cases, but symptoms were variable and the criteria for getting tested and quarantining changed all the time. The UK at least seemed better off than Italy, where his in-laws were isolating. Initially it was like flu outbreaks he’d dealt with before, with the main differences being a shift to telephone consultations and the “Great Faff” of donning full PPE for home visits and trips to care homes. The new “digital first” model left him feeling detached from his patients. He had his own Covid scare in May, but a test was negative and the 48-hour bug passed.
Through his involvement in the community, Francis saw the many ways in which coronavirus was affecting different groups of people. He laments the return of mental health crises that had been under control until lockdown. Edinburgh’s homeless, many in a perilous immigration situation thanks to Brexit, were housed in vacant luxury hotels. He visited several makeshift hostels, where some residents were going through drug withdrawal, and also met longtime patients whose self-harm and suicidal ideation were worsening.
Children and the elderly were also suffering. In June, he co-authored a letter begging the Scottish education secretary to allow children to return to school. Perhaps the image that will stick with me most, though, is of the confused dementia patients he met at care homes: “there was a crushing atmosphere of sadness among the residents … [they were] not able to understand why their families no longer came to visit. How do you explain social distancing to someone who doesn’t remember where they are, sometimes even who they are?”
Francis incorporates brief histories of vaccination and the discovery of herd immunity, and visits a hospital where a vaccine trial is underway. I learned some things about COVID-19 specifically: it can be called a “viral pneumonia”; it has two phases, virological (the virus makes you unwell) and immunological (the immune system misdirects messages and the lungs get worse); and it affects the blood vessels as well as the lungs, with one in five presenting with a rash and some developing chilblains in the summer. Amazingly, as the year waned, Francis only knew three patients who had died of Covid, with many more recovered. But in August, a city that should have been bustling with festival tourists was nearly empty.
Necessarily, the book ends in the middle of things; Francis has clear eyes but a hopeful heart. While this is not the first COVID-19 book I’ve encountered (that was Duty of Care by Dominic Pimenta) and will be far from the last – next up for me will be Rachel Clarke’s Breathtaking, out at the end of this month – it is an absorbing first-hand account of a medical crisis as well as a valuable memorial of a time like no other in recent history. A favorite line was “One of the few consolations of this pandemic is its grim camaraderie, a new fellowship among the fear.” Another consolation for me is reading books by medical professionals who can compassionately bridge the gap between expert opinion and everyday experience.
Intensive Care was published by the Wellcome Collection/Profile Books on January 7th. My thanks to the publisher for the free copy for review.
Gavin Francis’s other work includes:
Previously reviewed: Shapeshifters
Also owned: Adventures in Human Being
I’m keen to read: Empire Antarctica, about being the medical officer at the British research centre in Antarctica – ironically, this was during the first SARS pandemic. (In July 2020, conducting medical examinations on the next batch of scientists to ship out there, he envied them the chance to escape: “By the time they came home it would be 2022. Surely we’d have the virus under control by then?”)
Thinking about Dead Bodies with John Troyer (Hay Festival)
My second of three digital Hay Festival talks this year was by John Troyer, director of the interdisciplinary Centre for Death and Society at the University of Bath. Troyer is from Wisconsin (where he was speaking from, having been trapped there during a visit to his parents) and grew up with a father who owned a funeral home. This meant that he was aware of death from a young age: One of his earliest memories is of touching the hand of a dead woman when he went to visit his father at work.
That’s not the only personal experience that went into his new book, Technologies of the Human Corpse, which I’m now keen to read. In 2018 his younger sister, Julie, died of brain cancer at age 43, so her illness and death became a late addition to the preface and also fed into a series of prose poems interspersed between the narrative chapters. She lived in Italy and her doctors failed to tell her that she was dying – that job fell to Troyer. (Unfortunately, this seems to be a persistent problem in Italy. In Dottoressa, her memoir of being an American doctor in Rome, which I read for a TLS review, Susan Levenstein writes of a paternalistic attitude among medical professionals: they treat their patients as children and might not even tell them about a cancer diagnosis; they just inform their family.)
Troyer discussed key moments that changed how we treat corpses. For instance, during the American Civil War there was a huge market for the new embalming technology; it was a way of preserving the bodies of soldiers so they could be returned home for funerals. Frauds also arose, however, and those taken in might find their loved one’s body arrived in a state of advanced decay. At around the same time, early photography captured corpses looking serene and sleeping. We might still take such photos, but we don’t tend to display them any more.
In the 1970s the “happy death” movement advocated for things like “natural death” and “death with dignity.” This piggybacked on the environmental and women’s movements and envisioned death as a taboo that had to be overcome. In recent decades a “necro-economy” based on the global trafficking of body parts (not organs for regulated transplant, Troyer clarified, but other tissue types) has appeared. While whole bodies may be worth just £2,000, “disarticulated” ones divided into their parts can net more like £100,000. Donating one’s body to science is, of course, a noble decision. Many people are also happy to donate their organs, though there remains a particular wariness about donating the eyes.
Troyer and Florence on my screen.
One section of Troyer’s book has become “uncannily resonant” in recent days, he noted. This is Chapter 3, on the AIDS corpse, an object of stigma. The biggest changes to death in the time of COVID-19 have been that family members are not able to be with a dying person in the ICU and that funerals cannot proceed as normal. In a viral pandemic, countries are producing a huge number of corpses that they aren’t prepared to deal with. (Indeed, the Washington, D.C. area is so overwhelmed with dead bodies that ice skating rinks have been requisitioned as makeshift morgues. The suburban Maryland rink I visited as a child is one such. Grim.)
Troyer spoke of the need for an everyday-ness to the discussion of death: talking with one’s next of kin, and encountering death in the course of a traditional education – he finds that even his final-year university students, studying in a related field, are very new to talking about death. A good way in that he recommends is simply to ask your loved ones what music they want played at their funerals, and the conversation can go from there.
We may not be able to commemorate the dead as we would like to at this time, but Troyer reminded the audience that funerals are for the living, whereas “the dead are okay with it – they know we’re doing our best.” The event was sensitively chaired by Peter Florence, the co-founder and director of Hay Festival (also responsible for last year’s controversial Booker Prize tie); the fact that Troyer got emotional talking about his sister only gave it more relevance and impact.
I’ve read an abnormally large number of books about death, especially in the five years since my brother-in-law died of brain cancer (one reason why Troyer’s talk was so meaningful for me). Most recently, I read Bodies in Motion and at Rest (2000) by Thomas Lynch, a set of essays by the Irish-American undertaker and poet from Michigan. I saw him speak at Greenbelt Festival in 2012 and have read four of his books since then. His unusual dual career lends lyrical beauty to his writing about death. However, this collection was not memorable for me in comparison to his 1997 book The Undertaking, and I’d already encountered a shortened version of “Wombs” in the Wellcome Collection anthology Beneath the Skin. But this passage from “The Way We Are” stood out:
After years and years of directing funerals, I’ve come to the conclusion that seeing [the dead body] is the hardest and most helpful part. The truth, even when it hurts, has a healing in it, better than fiction or fantasy. When someone dies it is not them we fear seeing, it is them dead. It is the death. We fear that seeing will be believing. We fear not seeing too. We search the wreckage and the ruins, the battlefields and ocean floors. We must find our dead to let the loss be real.
Just for a bit of morbid fun, I decided to draw up my top 10 nonfiction books about death, dying and the dead. Many of these are personal accounts of facing death or losing a loved one. In contrast to the bereavement and cancer memoirs, the books by Doughty and Gawande are more like cultural studies, and Montross’s is about working with corpses. If you need a laugh, the Bechdel (a graphic memoir) and Doughty are best for black comedy.
The Light of the World by Elizabeth Alexander- Fun Home: A Family Tragicomic by Alison Bechdel (her father, too, was a funeral home director)
- Dear Life: A Doctor’s Story of Love and Loss by Rachel Clarke
- The Iceberg by Marion Coutts
- From Here to Eternity: Traveling the World to Find the Good Death by Caitlin Doughty
Being Mortal: Medicine and What Matters in the End by Atul Gawande- When Breath Becomes Air by Paul Kalanithi
- Body of Work: Meditations on Mortality from the Human Anatomy Lab by Christine Montross
- The Bright Hour: A Memoir of Living and Dying by Nina Riggs
- To Travel Hopefully: Journal of a Death Not Foretold by Christopher Rush
Four Recent Review Books: Butler, Hunt, Paralkar and Vestre
Four February–April releases: A quiet novel about the clash of religion and reason; a birdwatching odyssey in London; a folktale-inspired story of the undead descending on an Indian medical clinic; and a layman’s introduction to fetal development – you can’t say I don’t read a wide variety of books! See if any of these tempt you.
Little Faith by Nickolas Butler
Butler follows in Kent Haruf’s footsteps with this quiet story of ordinary Midwesterners facing a series of small crises. Lyle Hovde works at a local Wisconsin orchard but is more interested in spending time with Isaac, his five-year-old grandson. Lyle has been an atheist since he and Peg lost a child in infancy, making it all the more ironic that their adopted daughter, Shiloh, has recently turned extremely religious. She attends a large non-denominational church that meets in an old movie theatre and is engaged to Pastor Steven*, whose hardline opinions are at odds with his hipster persona.
Steven and Shiloh believe Isaac has a healing gift – perhaps he can even help Lyle’s old pal, Hoot, who’s just been diagnosed with advanced cancer? The main story line reminded me most of Emily Fridlund’s History of Wolves (health and superstition collide) and Carolyn Parkhurst’s Harmony (the dangers of a charismatic leader). It’s all well and good to have faith in supernatural healing, but not if it means rejecting traditional medicine.
This is the epitome of a slow burner, though: things don’t really heat up until the final 35 pages, and there were a few chapters that could have been cut altogether. The female characters struck me as underdeveloped, but I did have a genuine warm feeling for Lyle. There are some memorable scenes, like Lyle’s heroic effort to save the orchard from an ice storm – a symbolic act that’s more about his desperation to save his grandson from toxic religion. But mostly this is a book to appreciate for the slow, predictable rhythms of a small-town life lived by the seasons. 
[*So funny because that’s my brother-in-law’s name! I’ve also visited a Maryland church that meets in a former movie theatre. I was a part of somewhat extreme churches and youth groups in my growing-up years, but luckily nowhere that would have advocated foregoing traditional medicine in favor of faith healing. There were a few false notes here that told me Butler was writing about a world he wasn’t familiar with.]
A favorite passage:
“‘Silent Night’ in a darkened country chapel was, to Lyle, more powerful than any atomic bomb. He was incapable of singing it without feeling his eyes go misty, without feeling that his voice was but one link in a chain of voices connected over the generations and centuries, that line we sometimes call family. Or memory itself.”
With thanks to Faber & Faber for the free copy for review.
The Parakeeting of London: An Adventure in Gonzo Ornithology by Nick Hunt
Rose-ringed parakeets were first recorded in London in the 1890s, but only in the last couple of decades have they started to seem ubiquitous. I remember seeing them clustered in treetops and flying overhead in various Surrey, Kent and Berkshire suburbs we’ve lived in. They’re even more noticeable in London’s parks and cemeteries. “When did they become as established as beards and artisan coffee?” Nick Hunt wonders about his home in Hackney. He and photographer Tim Mitchell set out to canvass public opinion about London’s parakeets and look into conspiracy theories about how they escaped (Henry VIII and Jimi Hendrix are rumored to have released them; the set of The African Queen is another purported origin) and became so successful an invasive species.
A surprising cross section of the population is aware of the birds, and opinionated about them. Language of “immigrants” versus “natives” comes up frequently in the interviews, providing an uncomfortable parallel to xenophobic reactions towards human movement – “people had a tendency to conflate the avian with the human, turning the ornithological into the political. Invading, colonizing, taking over.” This is a pleasant little book any Londoner or British birdwatcher in general would appreciate.
With thanks to Paradise Road for the free copy for review.
Night Theatre by Vikram Paralkar
This short novel has an irresistible (cover and) setup: late one evening a surgeon in a rural Indian clinic gets a visit from a family of three: a teacher, his pregnant wife and their eight-year-old son. But there’s something different about this trio: they’re dead. They each bear hideous stab wounds from being set upon by bandits while walking home late from a fair. In the afterlife, an angel reluctantly granted them a second chance at life. If the surgeon can repair their gashes before daybreak, and as long as they stay within the village boundaries, their bodies will be revivified at dawn.
Paralkar draws on dreams, folktales and superstition, and the descriptions of medical procedures are vivid, as you would expect given the author’s work as a research physician at the University of Pennsylvania. The double meaning of the word “theatre” in the title encompasses the operating theatre and the dramatic spectacle that is taking place in this clinic. But somehow I never got invested in any of these characters and what might happen to them; the précis is more exciting than the narrative as a whole. 
A favorite passage:
“Apart from the whispering of the dead in the corridor, the silence was almost deliberate – as if the crickets had been bribed and the dogs strangled. The village at the base of the hillock was perfectly still, its houses like polyps erupting from the soil. The rising moon had dusted them all with white talc. They appeared to have receded in the hours after sunset, abandoning the clinic to its unnatural deeds.”
With thanks to Serpent’s Tail for the free copy for review.
The Making of You: A Journey from Cell to Human by Katharina Vestre
A sprightly layman’s guide to genetics and embryology, written by Doctoral Research Fellow at the University of Oslo Department of Biosciences. Addressed in the second person, as the title suggests, the book traces your development from the sperm Leeuwenhoek studied under a microscope up to labor and delivery. Vestre looks at all the major organs and the five senses and discusses what can go wrong along with the normal quirks of the body.
I learned all kinds of bizarre facts. For instance, did you know that sperm have a sense of smell? And that until the 1960s pregnancy tests involved the death of a mouse or rabbit? Who knew that babies can remember flavors and sounds experienced in utero?
Vestre compares human development with other creatures’, including fruit flies (with whom we share half of our DNA), fish and alligators (which have various ways of determining gender), and other primates (why is it that they stay covered in fur and we don’t?). The charming style is aimed at the curious reader; I rarely felt that things were being dumbed down. Most chapters open with a fetal illustration by the author’s sister. I’m passing this on to a pregnant friend who will enjoy marveling at everything that’s happening inside her.
A representative passage:
“This may not sound terribly impressive; I promised you dramatic changes, and all that’s happened is that a round plate has become a triple-decker cell sandwich. But you’re already infinitely more interesting than the raspberry you were a short while ago. These cells are no longer confused, needy newcomers with no idea where they are or what they’re supposed to do. They have completed a rough division of labour. The cells on the top layer will form, among other things, skin, hair, nails, eye lenses, nerves and your brain. From the bottom layer you’ll get intestines, liver, trachea and lungs. And the middle layer will become your bones, muscles, heart and blood vessels.”
With thanks to Wellcome Collection/Profile Books for the free copy for review.
Would you be interested in reading one or more of these?
The Wellcome Book Prize 2019 Awards Ceremony
The winner of the 10th anniversary Wellcome Book Prize is Murmur, Will Eaves’s experimental novel about Alan Turing’s state of mind and body after being subjected to chemical castration for homosexuality. It is the third novel to win the Prize. Although it fell in the middle of the pack in our shadow panel voting because of drastically differing opinions, it was a personal favorite for Annabel and myself – though we won’t gloat (much) for predicting it as the winner!
Clare, Laura and I were there for the announcement at the Wellcome Collection in London. It was also lovely to meet Chloe Metzger, another book blogger who was on the blog tour, and to see UK book v/blogging legends Eric Karl Anderson and Simon Savidge again.
The judges’ chair, novelist Elif Shafak, said, “This prize is very special. It opens up new and vital conversations and creates bridges across disciplines.” At a time when we “are pushed into monolithic tribes and artificial categories, these interdisciplinary conversations can take us out of our comfort zones, encouraging cognitive flexibility.” She praised the six shortlisted books for their energy and the wide range of styles and subjects. “Each book, each author, from the beginning, has been treated with the utmost respect,” she reassured the audience, and the judges approached their task with “an open mind and an open heart,” arriving at an “inspiring, thought-provoking, but we believe also accessible, shortlist.”
The judges brought each of the five authors present (all but Thomas Page McBee) onto the stage one at a time for recognition. Shafak admired how Sandeep Jauhar weaves together his professional expertise with stories in Heart, and called Sarah Krasnostein’s The Trauma Cleaner a “strangely life-affirming and uplifting book about a remarkable woman. … It’s about transitions.”
Doctor and writer Kevin Fong championed Amateur, his answer to the question “which of these books, if I gave it to someone, would make them better.” McBee’s Canongate editor received the recognition/flowers on the author’s behalf.
Writer and broadcaster Rick Edwards chose Arnold Thomas Fanning’s Mind on Fire for its “pressability factor” – the book about which he kept saying to friends and family, “you must read this.” It’s an “uncomfortably honest” memoir, he remarked, “a vivid and unflinching window, and for me it was revelatory.”
Writer, critic and academic Jon Day spoke up for Murmur, “a novel of great power and astonishing achievement,” about “what it means to know another person.”
Lastly, writer, comedian and presenter Viv Groskop spoke about Ottessa Moshfegh’s My Year of Rest and Relaxation, which she described as “Jane Eyre meets Prozac Nation.” The judges “had a lot of fun” with this novel, she noted; it’s “caustic, feminist … original, playful, [and] strangely profound.”
But only one book could win the £30,000 10th anniversary prize, and it was one that Shafak predicted will be “a future classic,” Murmur. Will Eaves thanked Charles Boyle of CB Editions for taking a chance on his work. He also acknowledged Alan Turing, who, like him, attended King’s College, Cambridge. As he read Turing’s papers, Eaves reported, he was gripped by the quality of the writing – “there’s a voice there.” Finally, in a clearly emotional moment, he thanked his mother, who died several years ago and grew up in relative poverty. She was a passionate believer in education, and Eaves encouraged the audience to bear in mind the value of a state education when going to the polls.
Photo by Eric Karl Anderson.
After the announcement we found Sarah Krasnostein, our shadow panel winner, and got a photo and a signature. She gave us the scoop on her work-in-progress, which examines six case studies, three from Australia and three from the USA, of people with extreme religious or superstitious beliefs, such as a widow who believes her husband was abducted by aliens. She’s exploring the “cognitive dissonance” that goes on in these situations, she said. Can’t wait for the new book!
Laura, Sarah Krasnostein, me, Clare.
I also congratulated Will Eaves, whose book I’d covered for the blog tour, and got a signature. Other ‘celebrities’ spotted: Suzanne O’Sullivan, Ruth Padel and Robin Robertson. (Also a couple of familiar faces from Twitter that I couldn’t place, one of whom I later identified as Katya Taylor.)
I again acquired a Wellcome goody bag: this year’s limited-edition David Shrigley tote (I now have two so will pass one on to Annabel, who couldn’t be there) with an extra copy of The Trauma Cleaner to give to my sister.
Another great year of Wellcome festivities! Thanks to Midas PR, the Wellcome Book Prize and my shadow panel. Looking forward to next year already – I have a growing list of 2020 hopefuls I’ve read or intend to read.
See also: Laura’s post on the ceremony and the 5×15 event that took place the night before.
Three Books that Originated on the Radio
As the end of the year approaches and I try to get through a final handful of review books, I’m looking for ways to combine posts. It may seem like a fairly arbitrary connection, but all three of these books originated as essays or short stories that were aired on British radio. I never listen to the radio so I miss out on these projects the first time around, but I’ve been interested to note how short forms and conversational styles lend themselves to oral performance.
Beneath the Skin: Great Writers on the Body
These 15 pieces were commissioned for the BBC Radio 3 series “A Body of Essays.” Thomas Lynch, a small-town American undertaker and wonderful, unjustly obscure writer, opens and closes the volume. In his introduction he remarks – appropriately as Christmas draws near – that “We are an incarnate species”: we experience the world only through our bodies, which are made of disparate parts that work together as a whole. This project considers single organs by turn “in hopes that by knowing the part we might better know the whole of our predicament and condition.”
Naomi Alderman, musing on the intestines, draws metaphorical connections between food, sex and death, and gives thanks that digestion and excretion are involuntary processes we don’t have to give any thought. Ned Beauman reports on misconceptions about the appendix as he frets about the odds of his bursting while he’s in America without health insurance. The late Philip Kerr describes the checkered history of the lobotomy, which used to reduce patients to a vegetative state but can now quite effectively treat epilepsy.
The pieces incorporate anatomical knowledge, medical history, current research, cultural connections, and sometimes observation of a hospital procedure. These threads are elegantly woven together, as in Patrick McGuinness’s essay on the ear, which skips between Hamlet’s father’s death, the secretive delight of mining for earwax, Beethoven’s ear trumpet, and what we know about in utero sounds.
Most authors chose a particular organ because of its importance to their own health. Christina Patterson’s acne was so bad she went to the UK’s top skin specialist for PUVA light treatments, Mark Ravenhill had his gallbladder removed in an emergency surgery, and Daljit Nagra’s asthma led his parents to engage Sikh faith healers for his lungs. Two of my favorite chapters were by William Fiennes, whose extreme Crohn’s disease caused him to have a colostomy bag for two years in his early twenties, and poet Kayo Chingonyi, who has always been ashamed to admit that his parents both died of complications of HIV in Zambia. Such personal connections add poignancy to what could have been information dumps.
As is usual for essay collections, my interest varied somewhat. I had my hopes too high so was disappointed with a scattered piece on the kidneys. But the overall quality is terrific. If you enjoy medical reads to any extent, I recommend this as a bedside book to read occasionally.
Some favorite lines:
“It’s a strange and shifting thing – this sense I have that I am my body, of which some bits are essential and some expendable.” (Mark Ravenhill)
“There are things we only think about when they go wrong: the fan belt, the combi boiler, the bowel.” (William Fiennes)
“Like most of us, I take my body for granted. I live in the most complex, intricate machine and as long as it wakes up in the morning, and goes to bed at night, I am uninterested in its inner workings.” (Chibundu Onuzo, “Thyroid”)
My rating: 
Beneath the Skin was published by the Wellcome Collection imprint of Profile Books on October 25th. My thanks to the publisher for a free copy for review.
In Mid-Air by Adam Gopnik
New Yorker writer Gopnik contributed to BBC Radio 4’s A Point of View for over a decade. These essays date from 2012 to 2017 and are grouped into three loosely thematic sections on family, culture and politics. Gopnik self-deprecatingly sees himself as “offering measured ambivalences on everything.” As an American who was raised in Canada and has lived in Paris and spent significant time in London, he has a refreshingly cosmopolitan outlook and can appreciate the nuances in different countries’ identities. At the same time, he brings out what’s universal: being annoying to one’s teenage children, gauging the passing of time by family members’ changes, the desire to die with dignity (remembering his father-in-law’s death at age 95), and lessons in a happy marriage from Charles and Emma Darwin – he boils it down to lust, laughter and loyalty.
During the weeks that I spent with these essays I was frequently reminded of Jan Morris’s In My Mind’s Eye, which casts a similarly twinkling eye over the absurdities of modern life and the aging body. Gopnik endures shingles and shrugs over his funny last name (“drunken lout” in Russian) and short stature. He mostly ignores Twitter and decries our dependence on smartphones. As he’s never learned to drive, he’s amused by the idea of self-driving cars.
My favorite pieces were on significantly more trivial matters, though: the irony of famous Christmas songs being written by Jews, and a satire on society’s addiction to DVD box sets. Other arts references vary from the Beatles and Bob Dylan’s Nobel Prize to Cubism and literary festivals. It’s a quirky blend of high and low culture here. Bizarrely, Gopnik has recently written an oratorio on Alan Turing and a musical about a New York City restaurant.
The author is an unabashed liberal who prizes pluralism above all else but warns how fragile it is. In the final section he prophesies catastrophe under Trump and, afterwards, can only say that at least his election puts lesser issues into perspective. I valued the diagnosis of American insularity and British inwardness – this particular essay was written in 2013 but seems all the more relevant post-Brexit. This was my fifth book from Gopnik. While I didn’t engage with every essay and would have liked them to be chronological so there was a mix of topics all the way through, it was a pleasant and often thought-provoking read.
Some favorite lines:
“Watching the people we love die bit by bit is the hardest thing life demands until we recall that watching the people we love die bit by bit is in a certain sense what life simply is. It just usually takes more time for the bits to go by.”
“We should never believe that people who differ from us about how we ought to spend public money want to commit genocide or end democracy, and we should stop ourselves from saying so, even in the pixellated heat of internet argument. But when we see the three serpents of militarism, nationalism and hatred of difference we should never be afraid to call them out, loudly, by name”
My rating:
In Mid-Air was published by riverrun, a new Quercus imprint, on October 18th. My thanks to the publisher for a free copy for review.
Turbulence by David Szalay
These 12 linked short stories, commissioned for BBC Radio 4, focus on travel and interconnectedness. Each is headed by a shorthand route from one airport to another, and at the destination we set out with a new main character who has crossed paths with the previous one. For instance, in “YYZ – SEA” the writer Marion Mackenzie has to cancel a scheduled interview when her daughter Annie goes into labor. There’s bad news about the baby, and when Marion steps away from the hospital to get Annie a few necessaries from a supermarket and is approached by a pair of kind fans, one of whom teaches Marion’s work back in Hong Kong, she’s overcome at the moment of grace-filled connection. In the next story we journey back to Hong Kong with the teacher, Jackie, and enter into her dilemma over whether to stay with her husband or leave him for the doctor she’s been having an affair with.
As he ushers readers around the world, Szalay invites us to marvel at how quickly life changes and how – improbable as it may seem – we can have a real impact on people we may only meet once. There’s a strong contrast between impersonal and intimate spaces: airplane cabins and hotel rooms versus the private places where relationships start or end. The title applies to the characters’ tumultuous lives as much as to the flight conditions. They experience illness, infidelity, domestic violence, homophobia and more, but they don’t stay mired in their situations; there’s always a sense of motion and possibility, that things will change one way or another.
My favorite story was “DOH – BUD,” in which Ursula goes to visit her daughter Miri and gains a new appreciation for Miri’s fiancé, Moussa, a Syrian refugee. I also liked how the book goes full circle, with the family from the final story overlapping with that of the first. Though a few of the individual stories are forgettable, I enjoyed this more than Szalay’s Booker-shortlisted All that Man Is, another globe-trotting set of linked stories.
Like Beneath the Skin, this acknowledges the many parts making up the whole of humanity; like In Mid-Air, it encourages a diversity of opinion and experience rather than narrow-mindedness. Maybe the three books had more in common than I first thought?
A favorite line:
“In fact it was hard to understand quite what an insignificant speck this aeroplane was, in terms of the size of the ocean it was flying over, in terms of the quantity of emptiness which surrounded it on all sides.”
My rating:
Turbulence is published by Jonathan Cape today, December 6th. My thanks to the publisher for a free copy for review.
Two Records of Bodily Transformation: Amateur and Shapeshifters
Amateur: A True Story about What Makes a Man, Thomas Page McBee
Thomas Page McBee was the first transgender man to box at Madison Square Garden. In his second memoir, which arose from a Quartz article entitled “Why Men Fight,” he recounts the training leading up to his charity match and ponders whether aggression is a natural male trait. McBee grew up in a small town outside Pittsburgh with a stepfather who sexually abused him from age four. In 2011 he started the testosterone injections that would begin his gender transformation. During the years that followed, other men seemed to pick fights with him fairly often, and he was unsure what to do about it. Finally, in 2015, the Manhattan editor decided to confront the belligerent male stereotype by starting boxing training.
What I most appreciated were the author’s observations of how others have related to him since his transition. He notices that he’s taken more seriously at work as a man, and that he can be an object of fear – when jogging behind a woman at night, for instance. One of the most eye-opening moments of the book is when he realizes that he’s been talking over his own sister. Thankfully, McBee is sensitive enough to stop and change, recognizing that kindness and vulnerability are not faults but attributes any person should be proud of.
I have a feeling I would have preferred his previous memoir, Man Alive, which sounds like it has more about the transition itself. Jonathan Eig’s biography of Muhammad Ali is one of the best books I’ve read this year, and in comparison I didn’t find the boxing writing here very interesting. Likewise, this pales beside two similar but more perceptive books I’ve read that have been hugely influential on my own understanding of gender identity: Conundrum by Jan Morris and The Argonauts by Maggie Nelson.
My rating:
Amateur was published in the UK by Canongate on August 2nd. My thanks to the publisher for the free copy for review.
Shapeshifters: On Medicine and Human Change by Gavin Francis
Gavin Francis is a physician with a practice near Edinburgh. His latest book is like a taster course in medical topics. The overarching theme is the modifications the body undergoes, so there are chapters on, for example, body-building, tattoos, puberty, prosthetic limbs, dementia and menopause. Over his years in general practice Francis has gotten to know his patients’ stories and seen them change, for better or worse. These anecdotes of transformation are one source for his book, but he also applies insight from history, mythology, literature, etymology and more. So in a chapter on conception he discusses the Virgin Mary myth, Leonardo da Vinci’s fetal diagrams, the physiological changes pregnant women experience, and the case of a patient, Hannah, who had three difficult, surprise pregnancies in quick succession.
We are all in the process of various transformations, Francis argues, whether by choice or involuntarily. (I decided on the link with McBee because of a chapter on sex changes.) I was less convinced by the author’s inclusion of temporary, reversible changes such as sleep, hallucinations, jet lag and laughter. And while each chapter is finely wrought, I felt some sort of chronological or anatomical order was necessary to give the book more focus. All the same, I suspect this will be a strong contender for next year’s Wellcome Book Prize because of its broad relevance to human health and its compassionate picture of bodies in flux.
My rating:
Shapeshifters was published by the Wellcome Collection/Profile Books on May 2nd. My thanks to the publisher for the proof copy for review.
The Wellcome Book Prize 2018 Awards Ceremony
Hey, we got it right! Mark O’Connell’s To Be a Machine, our shadow panel’s pick, won the Wellcome Book Prize 2018 last night. Of the three shadow panels I’ve participated in and the many others I’ve observed, this is the only time I remember the shadow winner matching the official one. Clare, Paul and I were there in person for the announcement at the Wellcome Collection in London. When we briefly spoke to the judges’ chair, Edmund de Waal, later in the evening, he said he was “relieved” that their decision matched ours – but I think it was definitely the other way around!
Simon Chaplin, Director of Culture & Society at the Wellcome Trust, said that each year more and more books are being considered for the prize. De Waal revealed that the judges read 169 books over nine months in what was for him his most frightening book club ever. “To bring the worlds of medicine and health into urgent conversation” requires a “lyrical and disciplined choreography,” he said, and “how we shape stories of science … is crucial.” He characterized the judges’ discussions as both “personal and passionate.” The Wellcome-shortlisted books make a space for public debate, he insisted.
Judges Gordon, Paul-Choudhury, Critchlow, Ratcliffe and de Waal. Photo by Clare Rowland.
The judges brought each of the five authors present onto the stage one at a time for recognition. De Waal praised Ayobami Adebayo’s “narrative of hope and fear and anxiety” and Meredith Wadman’s “beautifully researched and paced thriller.” Dr Hannah Critchlow of Magdalene College, Cambridge called Lindsey Fitzharris’s The Butchering Art “gruesome yet fascinating.” Oxford English professor Sophie Ratcliffe applauded Kathryn Mannix’s book and its mission. New Scientist editor-in-chief Sumit Paul-Choudhury said Mark O’Connell’s book is about the future “just as much as what it means to be human in the twenty-first century.” Journalist and mental health campaigner Bryony Gordon thanked Sigrid Rausing for her “great honesty and stunning prose.”
But there can only be one winner, and it was Mark O’Connell, who couldn’t be there as his wife is/was giving birth to their second child imminently. The general feeling in the room was that he’d made the right call by deciding to stay with his family. He must be feeling like the luckiest man on earth right now, to have a baby plus £30,000! Max Porter, O’Connell’s editor at Granta and the author of Grief Is the Thing with Feathers, received the award on his behalf and read out the extremely witty speech he’d written in advance.
Afterwards we spoke to three of the shortlisted authors. Kathryn Mannix said she’d so enjoyed following our shadow panel reviews and that it was for the best that O’Connell won, as any other outcome might have spoiled the lovely girls’ club the others had going on during the weekend’s events. I got two signatures and we nabbed a quick photo with Lindsey Fitzharris. It was also great to meet Simon Savidge, the king of U.K. book blogging, and author and vlogger Jen Campbell. Other ‘celebrities’ spotted: Sarah Bakewell and Ben Goldacre.
This time I stayed long enough for pudding canapés to come around – raspberry cake pops and mini meringues with strawberries. What a great idea! On the way out I again acquired a Wellcome goody bag: this year’s tote with a copy of The Butchering Art, which I only had on Kindle before. I’d also treated myself to this brainy necklace from the Wellcome shop and wore it to the ceremony. An all-round great evening. I’m looking forward to next year’s prize season already!
Paul, Lindsey Fitzharris, Clare and me.
Bookish Beck = Rebecca Foster. American transplant to England. Freelance proofreader and book reviewer.